Individual
DR. KENDALL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DVM
Contact information
Practice address
510 E 62ND ST, NEW YORK, NY 10065-8314
(917) 301-4197
Mailing address
510 E 62ND ST, NEW YORK, NY 10065-8314
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
013141
NY
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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